Effect of Surgery for Endometrioma on Ovarian Function: A Different Point of View

Ludovico Muzii, Anthony A. Luciano, Luciano AA, Errico Zupi, Panici PB, Pierluigi Benedetti Panici
Journal of Minimally Invasive Gynecology · 2014 · vol. 21(4) , pp. 531–533 · doi:10.1016/j.jmig.2014.03.022 · PMID:24727031 · W2075440251
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This paper examines the impact of endometrioma surgery on ovarian function from a new perspective.

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Abstract

Recent evidence in the literature suggests that surgical excision of the endometrioma wall may reduce ovarian reserve, which may have a negative effect on subsequent reproductive function. However, because of inconsistent results and methodologic flaws of anti-müllerian hormone (AMH) as a marker of ovarian reserve, antral follicle count may be a more accurate noninvasive marker than AMH. Evaluating ovarian reserve using antral follicle count rather than AMH may yield different conclusions insofar as postsurgical damage to the ovary. Surgery should be performed only by experienced surgeons, and the stripping technique currently is still the only one supported by strong scientific evidence. The dual function of surgery, that is, to improve fertility and reduce pain, cannot be minimized or undervalued.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Anti-Mullerian Hormone Endometriosis Gynecologic Surgical Procedures Infertility, Female Ovarian Diseases Ovarian Follicle Ovary Anti-Mullerian Hormone Biomarkers Endometriosis Female Gynecologic Surgical Procedures Humans Infertility, Female Infertility, Female Laparoscopy Ovarian Diseases Ovarian Follicle Ovarian Reserve Ovary

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (27)

Cited by (13)

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License: CC0 · commercial use OK